Samrat S Madanaik¹, Anand Vagarali², Sharangouda Patil³, Abhijeet Shitole⁴

¹Senior Resident, ²Professor & Head,³Professor,⁴Assistant Professor, Department of Cardiac Anesthesiology and critical care, K L E Hospital, J N Medical College, Belgaum, Karnataka, India.

Address for correspondence: Dr. Samrat S Madanaik, Department of Cardiac Anaesthesiology KLES Dr. Prabhakar Kore Hospital & MRC, Nehru Nagar, Belagavi- 590 010 Karnataka, India.

Email: samratmadanaik@gmail.com

Congenital anomaly of the coronary arteries is a rare disease occurring in 1%–2% of all congenital heart diseases. Atresia of the left main coronary artery is one of its least-frequently observed variations, with very few cases presented in the literature (Amaral et al.,2000; Gebauer et al.,2008). The prognosis is unfavorable because it results in myocardial ischemia or infarction, and even sudden cardiac death. Surgical revascularization of the left main coronary artery is recommended in most patients with atresia of the left coronary artery because of unfavorable clinical outcome, of which only a few cases have been reported for successful surgical revascularization (Sunagawa et al., 2005; Gebauer et al., 2008).

Keywords : Left main coronary artery atresia, left anterior descending artery, left internal mammary artery, successful revascularization.